Carotid Endarterectomy

Reliable stroke prevention for carotid artery narrowing

What Is Carotid Endarterectomy?

Carotid endarterectomy is a surgical procedure in which the surgeon removes an atherosclerotic plaque from the carotid artery.
This restores normal blood flow to the brain and significantly reduces the risk of ischemic stroke.

The operation is indicated in cases of pronounced stenosis (narrowing) of the artery by more than 70%, especially if symptoms such as the following appear:

• Dizziness, unsteady gait
• Head noise (tinnitus)
• Sudden weakness or numbness of the limbs

Preparation for Surgery

Before the procedure, a comprehensive diagnostic evaluation is performed:

• Duplex ultrasound of the neck vessels (BCA)
• CT angiography of the brachiocephalic arteries
• Consultations with a vascular surgeon and anesthesiologist

The patient’s overall condition is also assessed, and the type of anesthesia is chosen — local (regional) or general.

How the Surgery Is Performed

1. A 4–6 cm incision is made on the neck.
2. The surgeon carefully isolates the section of the artery affected by atherosclerosis.
3. Under microscopic optics, the plaque is removed.
4. The artery is sutured — either directly or with the use of a special patch.
5. Blood flow is restored, and the tightness of the sutures is checked.
6. A neat cosmetic stitch is applied.

The average duration of the surgery is 1–1.5 hours.
In most cases, intensive care monitoring is not required.

Postoperative Period

• Discharge is often possible the next day.
• Thanks to the short hospital stay, the risk of infectious complications is minimal.
• After surgery, it is important to strictly follow medical recommendations: take prescribed medications regularly, monitor blood pressure and cholesterol levels, and maintain a healthy diet.

Prognosis and Outcome

Carotid endarterectomy significantly reduces the risk of stroke and improves blood supply to the brain.
When following medical advice, the patient can return to their normal lifestyle within a few days.

Frequently Asked Questions

How much does the surgery cost?

At our Center, the operation can be performed free of charge under the national healthcare program or a federal quota.
The cost of paid treatment starts from 127,400 rubles.

How safe is the surgery?

The risks are minimal when performed with proper indications and preparation.
The procedure is carried out by experienced surgeons using modern techniques and microscopic optics.

How many days are required in the hospital?

In most cases, the patient is discharged the next day if their condition is stable.